Organization Active NPI

Graceful Care LLC

  • Prosthetic/Orthotic Supplier
  • Orlando, FL
National Provider Identifier
1548092687
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GRACEFUL CARE LLC
Practice address
1500 Park Center Dr Ste 230
Orlando, FL 32835-5708
Phone
(407) 307-4821
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Imonie Patrick
Title
MGR
Phone
(407) 307-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1500 Park Center Dr Ste 230
Orlando, FL 32835-5708

Mailing address

1500 Park Center Dr Ste 230
Orlando, FL 32835-5708
Phone (407) 307-4821

National Provider Directory

National Provider Directory

Locations

1500 Park Center Dr
Ste 230
Orlando, FL 32835
Phone (407) 307-4821

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1548092687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PARK CENTER DR STE 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355708",
            "telephone_number": "407-307-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK CENTER DR STE 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355708",
            "telephone_number": "407-307-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "IMONIE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-307-4821"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.